ATI RN
ATI Med Surg Final Exam Nsg 232 Questions
Extract:
Question 1 of 5
A client is admitted to the burn unit with chemical burns. The nurse understands that which of the following agents are potential causes of the client's burn injuries? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Hydrofluoric acid, bleach, and gasoline are corrosive or flammable agents that can cause chemical burns.
Question 2 of 5
A nurse is providing direction to a nursing assistant who will be caring for a client with human immunodeficiency virus (HIV) and receiving azidothymidine (AZT) antiretroviral therapy. The nurse should instruct the nursing assistant to implement which of the following actions?
Correct Answer: C
Rationale: Standard precautions are sufficient for HIV patients, as the virus is not transmitted through casual contact.
Question 3 of 5
A nurse is caring for a client on a ventilator. The nurse should include which of the following interventions in the plan of care to prevent ventilator associated pneumonia? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Elevating the bed, hand hygiene, and mouth care reduce the risk of ventilator-associated pneumonia.
Question 4 of 5
A nurse on a telemetry unit is caring for a client who has a history of premature ventricular contractions (PVCs). The client reports feeling lightheaded and feeling heart beats in their chest. In a client having PVCs, which of the following findings would the nurse expect when auscultating the client's apical pulse?
Correct Answer: A
Rationale: PVCs cause irregular pulsations due to premature ventricular beats disrupting normal rhythm.
Question 5 of 5
A nurse is teaching a client diagnosed with gout about the new prescription for colchicine. Which of the following instructions should the nurse include in the teaching?
Correct Answer: C
Rationale: Colchicine can cause myotoxicity, and monitoring for muscle pain is essential to detect this adverse effect.